NC Office of Violence Prevention Technical Assistance Request Form

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Use the form below to submit a request for technical assistance. Once our office receives your request, we will follow up to gather further details to create your customized plan.

This form is only for NC-based agencies and organizations. If you are not NC-based and are seeking assistance from our office, please email us directly at ovp@ncdps.gov.

  • Organization's Contact Information
  • Technical Assistance Needed
  • Complete
Indicates required field
Would you like to add a secondary contact?
Secondary Contact
Organization Information
Sector
What is the primary population your organization serves?
Age Group